Arch Craniofac Surg.  2018 Sep;19(3):210-213. 10.7181/acfs.2018.01970.

Sinonasal intestinal-type adenocarcinoma in the frontal sinus

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.
  • 2Department of Plastic Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea. ecjeong@snu.ac.kr

Abstract

Sinonasal intestinal-type adenocarcinoma is a rare neoplasm which can be diagnosed by pathologic report. Nasal obstruction, epistaxis, and rhinorrhea are common symptoms, but presenting with a benign-looking palpable mass is also possible. This is a report of our experience in diagnosing and treating a sinonasal intestinal-type low grade adenocarcinoma. A 63-year-old man initially presented with a rapidly growing palpable mass in the glabella region for 4 months. A malignancy of sinus origin was suspected on imaging studies. We performed further preoperative evaluations for cancer staging, and curative surgery was planned. Radical resection and immediate reconstruction with free anterolateral thigh flap were performed. The pathology findings confirmed a diagnosis of sinonasal intestinal-type adenocarcinoma.

Keyword

Sinonasal; Adenocarcinoma; Intestinal; Neoplasm; Sinus

MeSH Terms

Adenocarcinoma*
Diagnosis
Epistaxis
Frontal Sinus*
Humans
Middle Aged
Nasal Obstruction
Neoplasm Staging
Pathology
Thigh
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